<wicket:panel>
	<h3>Add a New Host</h3>
	All of the following fields are required.
	<form wicket:id="form">
		<table border="0" cellspacing="0" cellpadding="0">
			<tr>
				<th>First Name:</th>
				<td><input wicket:id="firstName" type="text" size="40" /></td>
			</tr>
			<tr>
				<th>Last Name:</th>
				<td><input wicket:id="lastName" type="text" size="40" /></td>
			</tr>
			<tr>
				<th>Age:</th>
				<td><select name="Ages" wicket:id="ageDDC" /></td>
			</tr>
			<tr>
				<th>Street Address:</th>
				<td><input wicket:id="streetAddress" type="text" size="40" /></td>
			</tr>
			<tr>
				<th>City:</th>
				<td><input wicket:id="city" type="text" size="40" /></td>
			</tr>
			<tr>
				<th>State:</th>
				<td><select name="States" wicket:id="stateDDC" /></td>
			</tr>
			<tr>
				<th>Zip:</th>
				<td><input wicket:id="zip" type="text" /></td>
			</tr>
			<tr>
				<th>Phone:</th>
				<td><input wicket:id="phone" type="text" /></td>
			</tr>
			<tr>
				<th>e-Mail:</th>
				<td><input wicket:id="email" type="text" size="40" /></td>
			</tr>
			<tr>
				<th><span wicket:id="administratorLabel">[Is an Administrator:]</span></th>
				<td><input wicket:id="isAdministrator" type="checkbox" /></td>
			</tr>
			<tr>
				<td colspan="2"><input type="submit" value="Add"/></td>
			</tr>
		</table>
	</form>

</wicket:panel>
